Latest Inspection
This is the latest available inspection report for this service, carried out on 29th April 2010. CQC found this care home to be providing an Excellent service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Villosa I.
What the care home does well Villosa 1 provides a very good quality of personal and health care support to meet the individually assessed needs of each service user. The service works hard at providing an environment where each individual service user can reach their best potential and lead an independent lifestyle within their abilities and their own safety. The comments made on the pre inspection surveys by service users and relatives were all very positive about the service , one said `Villosa provides the best care possible staff are supportive and caring`, and another from a service user `I am very happy with my lifestyle here and I do not want anything to change`. The Manager was able to provide all the written evidence that we asked for during this unannounced inspection and the records examined were found to be well compiled and to be kept up to date. Health and safety practices are carried out thereby providing a safe environment for the service users and the staff. The service follows its clear financial and accounting procedures thereby safeguarding the people who use the service. During this visit it was seen that the service was consistently and professionally managed and that the manager had a calm approach and an open management style along with a clear view of how the service must develop to ensure it continues to meet the changing care needs of its service users and that it takes their views into account at all times. What the care home could do better: Further improvements could be made to the manner in which the person centered careplans are written and ways to achieve this were discussed with the Manager during this visit. The home carries out regular fire testing and evacuation practices were seen to be properly recorded but the homes written Fire Evacuation Plan requires to be improved so as to fully evidence these actions. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Villosa I 390 Hatfield Road St Albans Hertfordshire AL4 0DU three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Jan Sheppard Date: 2 9 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Villosa I 390 Hatfield Road St Albans Hertfordshire AL4 0DU 01727860805 01442861152 john.fitzpatrick@psycare.co.uk www.psycare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) William John Fitzpatrick Type of registration: Number of places registered: Conditions of registration: Category(ies) : Psycare Limited care home 9 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: Date of last inspection Brief description of the care home 9 Villosa I is a detached family house, extensively developed and converted for use as a residential care home for nine adults with a learning disability. The premises consist of nine single bedrooms (two of which are on the ground floor). The home has a reception area leading to the main lounge, a separate dining room and a conservatory. The home also benefits from an additional sunroom that has been built at the side of the house. The kitchen and bathroom are situated on the ground floor. The laundry facility is in a separate prefabricated building at the rear of the home and this facility is also used for storage. There is an office at the side of the house on the ground floor. There are good links to the city centre via local public transport. St Albans also has two
Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home railway stations, one main line service to Kings Cross and the other a local service to Watford. The homes charges are between £900 and £ 1300 per week (the fee is variable according to the assessed need of each individual proposal to provide service). Further information about the services that the home can offer can be obtained from the homes Manager and are published in their Statement of Purpose and the Service User Guide. A copy of the Care Quality Commission inspection reports are available in the home. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
The last key inspection of this service was carried out on the 3rd August 2007 when the rating awarded was 3* Excellent. This unannounced Random Inspection was made by one inspector over four hours on 29th April 2010 ; the rating of 3* Excellent remains the same. During this inspection we focused on some of the key standards of the Care Standards Act 2000 relating to Adults. This report is written using accumulated evidence gathered prior to the inspection including information contained in the AQAA ( Annual Quality Assurance Assessment ) completed by the Manager, information in the pre- inspection surveys sent to service users staff and other stakeholders in the service and also takes account of statutory notifications sent periodically to the Commission by the home. During this visit we had in depth discussions with the homes Manager, we made a tour of the building and spoke with a number of residents and with the staff who were on duty. We found that the homes was clean tidy and provided a good quality homely environment for its service users.There was evidence of an on going maintenance programme and individual service users rooms were seen to be comfortably furnished with items of their choosing and equipment provided that they needed to enable them to follow as independent a life style as possible. We found that there were sufficient numbers of staff on duty to meet the assessed needs of the service users and to ensure their protection and the smooth running of the service . The service is fortunate in being able to retain a stable staff group with a high number of longstanding experienced and qualified staff. The staff told us ,and it was reported on the pre-inspection surveys completed by them, that they were always well supported by the homes manager that they were given good training opportunities and attended regular one to one supervision meetings and monthly staff meetings. The records evidenced that the homes recruitment processes are thorough thereby ensuring the safety of the service users. The service users told us that they were always well supported by the staff one said I am happy here and comfortable at Villosa; the staff are kind and caring, another comment was The staff are friendly and the food is very good. During our visit it was seen that a good easy rapport existed between the staff and service users and that many of the service users came to the office to introduce themselves to us in a confident and enpowered manner. Several were happy to show us their rooms and to talk about their life style in the home. We found that all the service users have a weekly activity programme planned to meet their individually assessed needs and interests.Various day centers and college classes are attended and two service users are supported to hold down a job. The homes gives good attention to developing a range of activities that groups of service users can do together. On the day of this visit a group went out for a walk and another went shopping and out for lunch. All the service users took a holiday last year and plans for this season were seen to be being made for a coastal holiday. For the one service user who does not like staying away from the home a programme of day visits was being arranged. For the service users who are able to go out on their own several said that they use their local bus pass and mentioned visits that they like to make to Watford and to Stanborough Park. The staff encourage service users to maintain relationships with their families and
Care Homes for Adults (18-65 years) Page 4 of 9 several service users are able to make staying visits with their relatives on a regular basis. The care plan records evidenced through the regular updating of risk assessments the homes good awareness of the need for diligence concerning the safety and protection of the service users some of whom are very vulnerable. Staff training on Adult protection was seen to be up to date and staff and service users were familiar with the Complaints procedure.There have been no complaints or adult protection investigations since the last key inspection. Three care plans were examined and were found to be maintained up to date to contain a very good social care and medical history and a detailed assessment of the service users current assessed needs and how these should best be met. Further improvements to the presentation of these plans written in a more person centered format and to include the service users signatures were discussed with the manager during this visit. The care plan details evidenced that the service has developed and maintains close working relationships with local medical and other professional services.Visits to these agencies were well recorded with actions plans and outcomes noted. Staff have attended training concerning the Mental Capacity Act and DOLs deprivation of liberty processes and any implications for service users have been noted on their care plans. The home uses a MDS monitored dosage system for medication storage and administration. Records examined were found to be accurately maintained and up to date so that an audit of medication received into and leaving the service could be followed. What the care home does well: What they could do better:
Further improvements could be made to the manner in which the person centered care
Care Homes for Adults (18-65 years) Page 5 of 9 plans are written and ways to achieve this were discussed with the Manager during this visit. The home carries out regular fire testing and evacuation practices were seen to be properly recorded but the homes written Fire Evacuation Plan requires to be improved so as to fully evidence these actions. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 9 of 9 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
